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. Author manuscript; available in PMC: 2020 Jul 9.
Published in final edited form as: J Am Acad Dermatol. 2017 Oct 9;78(2):278–288. doi: 10.1016/j.jaad.2017.09.065

Figure 4. Pattern 4, Pigmented Spitzoid pattern.

Figure 4.

a) Clinically, asymmetric polychromic lesion on the finger of a 4 year old boy.

b) Dermoscopy: Multicomponent pattern on acral site, showing Spitzoid features with peripheral streaks, blue white veil in the center and multiple irregular black globules and dots. Spitzoid melanoma, Breslow 2.8 mm.

c) Clinically, symmetric pigmented tumor on the lower limb of a 9 year old boy.

d) Dermoscopy: Asymmetric globular pattern with ulceration, blue white veil and irregular black dots. Invasive Spitzoid melanoma

e) Clinically pigmented lesion on the lower limb of a 17 year old girl.

f) Dermoscopy: Asymmetric pigmented Spitzoid pattern, with irregular pseudopods, blue white veil, shiny white structures. Spitzoid melanoma, Breslow 0.42 mm.